CMS Suspends Advance Payment Program

Citing recently created coronavirus relief sources for home health agencies and other Medicare providers, the U.S. Centers for Medicare & Medicaid Services (CMS) announced Sunday that it is suspending its advance payment program. The agency is also “reevaluating” its accelerated payment program.  By pressing pause on the recently expanded loan programs, CMS effectively eliminates two […]

CMS Plan to Resume Elective Procedures Could End Home Health Business Lull

Some health systems will soon be able to begin performing elective procedures again, thanks to a new set of guidelines from the Centers for Medicare & Medicaid Services (CMS) released Sunday. A return of elective procedures could be a boost for home health providers, who have experienced a decrease in revenue during the COVID-19 public […]

Small Home Health Agencies Fighting to Stay Afloat Amid COVID-19 Crisis, Regulatory Uncertainty

Home health providers are currently waiting in the calm before the storm, bracing themselves for the COVID-19 surge that has already affected hospitals, skilled nursing facilities (SNFs) and other settings. Unfortunately, industry experts say, they’re readying their operations without necessary support from policymakers, who have seemingly been slow to fully embrace in-home care as a […]

Industry Insiders: Too Early to Tell How Coronavirus Will Affect Admission Patterns, PDGM Reimbursement

During and after the COVID-19 public health emergency, U.S. home health providers will likely have to navigate sudden changes to both their patient volumes and admission sources. When it comes to the latter, any drastic shifts in referrals and admissions could throw a huge wrench into the planning that went into Patient-Driven Groupings Model (PDGM) […]

Accelerated Payments from CMS Can Help Medicare Providers Stay Afloat, But Come with Potential Dangers

Advanced payments from the U.S. Centers for Medicare & Medicaid Services (CMS) can help home health agencies navigate cash flow challenges associated with the COVID-19 virus. But providers will need to approach accelerated payments with caution, armed with accurate, objective assessments of their internal financial situations. During times of natural disasters, CMS normally offers expedited […]

‘No Strings Attached’: CMS Sending $30 Billion to Home Health Agencies, Other Medicare Providers

If home health and hospice providers discover an unexpected Medicare payment from the Centers for Medicare & Medicaid Services (CMS) later this week, they shouldn’t be too alarmed — it’s not a billing error. The surprise deposit isn’t a mistake, but rather a no-strings-attached bump to help maintain operational stability amid coronavirus disruption. CMS Administrator […]

For Home Health Providers to Support Hospitals, More Federal Barriers Need to Be Lifted

Home health providers are positioning themselves as the answer to lessening the burden on U.S. hospitals during the COVID-19 pandemic, but the federal government will need to continue cutting through the red tape for providers to be effective. The past four weeks have elicited concerns about hospital over-capacity issues, as the number of confirmed coronavirus […]

[Updated] CMS Loosens Medicare Homebound Requirements, Suspends Review Choice Demo

Home health providers are receiving more temporary policy support in response to the novel coronavirus pandemic. On Monday, the U.S. Centers for Medicare & Medicaid Services (CMS) announced another round of COVID-19 regulatory waivers and new rules aimed at reinforcing the operations of Medicare-reimbursed providers. Among changes for home health agencies, in particular, CMS stated […]

CMS Expands Medicare Accelerated Payment Program to Help with COVID-19 Cash Flow Challenges

Health care policymakers are already taking advantage of the recently enacted Coronavirus Aid, Relief and Economic Security (CARES) Act to help out Medicare-reimbursed providers struggling with cash flow. On Saturday, the U.S. Centers for Medicare & Medicaid Services (CMS) announced it was expanding its accelerated and advance payment program for Medicare providers, citing a need […]

Dropping Therapy Utilization May Leave Seniors at Risk During COVID-19 Crisis

The implementation of the Patient-Driven Groupings Model (PDGM) has caused some home health providers to cut back on therapy utilization. But prehabilitation could have a positive impact during the ongoing COVID-19 pandemic, experts argue. While trying to navigate PDGM’s fundamental changes to therapy visits and reimbursement, many home health providers made wholesale changes to their […]